What is the best treatment for crows feet?

 
Thank you very much for your question. You can find a
dramatic improvement in the appearance of Crow’s Feet, or the fine lines at the
corner of your eyes, using Botox. The injectable is an excellent choice for
this area, as it will relax targeted muscles and smooth the area for up to
three months. I recommend scheduling a consultation with a board certified
plastic surgeon, experienced in Botox and noninvasive techniques. At this time,
he/she can perform an in-person evaluation of your skin, and recommend the best
treatment for eliminating your Crow’s Feet.

Hello! There are several options for treating crow's feet, the pesky lines that occur at the corner of the eyes. First, protect your skin- sunscreen and using sunglasses will minimize sundamage, which makes all wrinkles worse. Treatments such as chemical peels can improve the tightness of the skin and take away fine lines. Botox is maintenance for keeping the crow's feet at bay. It takes up to 10 days for full effect, but you will continue to see smoothing of the area if you keep up with the Botox (it typically lasts around 3 months). Occasionally we need to do filler for very deep lines, but typically do not use that unless the other treatments - including skin care- have failed due to cost and the potential for irregular contour. good luck!

I've had very good success in using Botox alone to resolve crow's feet. Once the periocular muscles have been relaxed, the overlying skin smoothes out and you generally don't see the wrinkles anymore. If the wrinkles are still visible, my next step would be the use of a gentle hyaluronic acid filler or laser resurfacing, as deeply etched wrinkles suggest that the skin has experienced a significant loss of elasticity and collagen. Lasers can stimulate the skin to produce more collagen and elastin, so not only would your skin be resurfaced, thus minimizing the look of the etched wrinkle, your skin quality would also improve over time. The Botox will keep the wrinkle from being created again. Botox should be repeated every three to four months to start. Please consult a board-certified dermatologist to find out which treatment plan is best in your case.

Botox works well to paralyze the muscles that contract around the eye (orbicularis oculi) and create the radial lines (crows feet). If deep lines remain in the area when the muscles are no longer contracting, small amounts of a less hydrophilic (water attracting) filler can help (off label use of Volbella or Belotero). In some cases, fractional Laser might be a better option to reduce the lines. 

Thank you for your question. Botox is the non-surgical injectible treatment that is especially effective in patients experiencing early signs of aging. Botox can specifically address crow's feet. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

At the risk of oversimplifying, most facial wrinkles result from two major contributing factors: a dynamic component (i.e. related to movement of the muscles of facial expression) and a static component (i.e. those lines that have become "etched-in" to the "fabric" of our facial skin--and are present at rest--after years of emoting thousands of times per day for many years).  To achieve optimal improvement, it is best to address both the dynamic and static components. Hyperkinetic movement of the periorbital muscles can be treated with Botox (or the other neuromodulators Dysport--which I prefer for this--and Xeomin). However, if static lines are already present, these need to be treated with the use of filler. In my Upper East Side Manhattan office, I prefer Belotero Balance for this and in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I typically opt for Aliaxin FL for this. Both treatments may be performed during the same treatment session or in two separate treatment sessions. Make sure that you consult with a board certified aesthetic physician and be certain to ask to see his/her before and after photos before agreeing to proceed. Best of luck to you.

Thank you for sharing your question. In general a neuromodulator like Botox is all that is needed to help smooth the lines along the outer and lower eye.  If these lines have become "set" you may need a small amount of filler placed to help smooth the area but I would start with Botox first.  Hope this helps.

The best initial treatment for the fine lines of the crow's feet area is botox.  You should allow two to five days to pass before you can evaluate the effect of the botox.  Injection of filler into the fine rhytids of the crow's feet region risks bruising, because of the vascularity of this area, as well as palpable and visible lumpiness because of the thinness of the skin here.  Newer fillers such as Volbella make injection of this area with filler more of a viable treatment option than it used to be, but your physician should make sure that you are getting the optimal effect from botox before using filler for the fine lines of the crow's feet area.

The best treatment for crows feet is botox.  It is best to see a board certified plastic surgeon/derm for a proper assessment.

Yes, Botox can be used in combination with fillers, lasers, microneedling/prp, ultherapy and rf treatments to improve crow's feet and can be combined on the same day. See an expert for a formal evaluation. Best, Dr. Emer